Laryngospasm During Anesthesia in Emergency Surgery for Ruptured Ectopic Pregnancy: A Case Report

This case report highlights the challenges of managing laryngospasm during emergency surgery for a ruptured ectopic pregnancy. Laryngospasm, a serious complication of anesthesia, causes involuntary laryngeal muscle contractions that obstruct the airway and can lead to hypoxemia, unconsciousness, or death if untreated. A 39-year-old obese woman presented with acute abdominal pain and symptoms of a ruptured ectopic pregnancy. During anesthesia induction, she experienced laryngospasm, complicating intubation and requiring the use of a laryngeal mask airway. Treatment with subcutaneous epinephrine, nebulized morphine, and aminophylline successfully restored her airway, allowing the surgery to proceed without further complications. This case emphasizes the importance of being prepared to manage laryngospasm, particularly in high-risk patients with factors like obesity, emotional stress, or a history of asthma. It highlights the need for anesthesiologists to remain vigilant and respond swiftly to early signs of airway obstruction. The report underscores the value of teamwork and timely intervention in managing emergencies to ensure patient safety and prevent life-threatening outcomes.